Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BAPTIST HEALTH MEDICAL GROUP INC

NPI: 1174091763 · HOPKINSVILLE, KY 42240 · Rural Health Clinic/Center · NPI assigned 11/13/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CLAY, DANYEL controls 20+ related entities in our dataset. Read more

$514K
Total Medicaid Paid
13,235
Total Claims
11,302
Beneficiaries
21
Codes Billed
2019-10
First Month
2021-08
Last Month

Provider Details

Authorized OfficialCLAY, DANYEL (VICE PRESIDENT REVENUE CYCLE)
Parent OrganizationBAPTIST HEALTH MEDICAL GROUP INC
NPI Enumeration Date11/13/2018

Related Entities

Other providers sharing the same authorized official: CLAY, DANYEL

ProviderCityStateTotal Paid
BAPTIST HEALTH MEDICAL GROUP INC LEXINGTON KY $54.04M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $28.00M
BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY $26.58M
BAPTIST HEALTH MEDICAL GROUP INC PADUCAH KY $21.94M
BAPTIST HEALTH MEDICAL GROUP INC ELIZABETHTOWN KY $13.60M
BAPTIST HEALTH MEDICAL GROUP INC CORBIN KY $1.91M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.84M
BAPTIST HEALTH MEDICAL GROUP INC BARBOURVILLE KY $1.60M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.59M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.53M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC MADISONVILLE KY $1.41M
BAPTIST HEALTH MEDICAL GROUP INC POWDERLY KY $1.29M
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC POWDERLY KY $1.14M
BAPTIST HEALTH MEDICAL GROUP INC RICHMOND KY $1.06M
BAPTIST HEALTH MEDICAL GROUP INC BRANDENBURG KY $925K
BAPTIST HEALTH MEDICAL GROUP INC BEREA KY $914K
BAPTIST HEALTH MEDICAL GROUP INC GEORGETOWN KY $758K
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC HOPKINSVILLE KY $680K
BAPTIST HEALTH MEDICAL GROUP, INC. JEFFERSONVILLE IN $637K
BAPTIST HEALTH MEDICAL GROUP INC MADISONVILLE KY $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,672 $59K
2020 6,704 $264K
2021 4,859 $191K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,300 7,053 $378K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,759 2,403 $91K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 155 121 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 549 445 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 187 161 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 35 31 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 227 215 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 249 234 $3K
99443 30 25 $3K
99442 47 40 $2K
90686 145 136 $2K
99215 Prolong outpt/office vis 30 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 59 59 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 107 70 $2K
90674 61 60 $2K
83036 Hemoglobin; glycosylated (A1C) 172 131 $805.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 13 $326.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 43 36 $255.38
71046 Radiologic examination, chest; 2 views 28 16 $161.58
73630 21 13 $136.90
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 17 14 $96.36